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NursesNCT06572202

Effectiveness of Positive Psychological Intervention on Resilience Improvement in Nurses

A study testing Positive Psychology Intervention in people with Nurses and Resilience, Psychological, run by Fitria Endah Janitra at 1 site in Indonesia.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The nursing profession, comprising over 27.9 million individuals and representing 59% of the health sector, plays a critical role in frontline healthcare globally. However, nurses face significant workplace stress due to factors like high mortality rates and ethical dilemmas, which can negatively impact their mental… Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
What is being tested?
Positive Psychology Intervention
Could I receive a placebo?
No, everyone receives an active treatment
How many people
80 participants
Where
1 siteIndonesia
Study dates
9 Oct 2024to 20 May 2025
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • registered nurses working in clinical settings
  • minimum of one year of work experience as a nurse
  • availability to participate in the intervention and follow-up assessments.

Who cannot join

  • Recent exposure to severe illness, trauma, or major life events in the past three months,
  • having suffered a major traumatic event in the past 6 months,
  • currently undergoing other forms of psychological treatment or counseling.

Trial locations and contacts

1 site in 1 country.

Indonesia1 site

  • Sultan Agung Islamic Teaching Hospital

    Semarang, Central Java

Other trials in Indonesia

About this study

Official title: Effectiveness of Positive Psychological Intervention on Resilience Improvement in Nurses: A Randomised Controlled Trial

The nursing profession, comprising over 27.9 million individuals and representing 59% of the health sector, plays a critical role in frontline healthcare globally. However, nurses face significant workplace stress due to factors like high mortality rates and ethical dilemmas, which can negatively impact their mental health. Resilience has emerged as a crucial concept in mitigating workplace stress and protecting nurses' psychological well-being. Studies show a negative correlation between stress and resilience, with higher resilience linked to better psychological outcomes and lower rates of burnout. Resilience, a dynamic process of positive adaptation to stress, can be enhanced through interventions like positive psychology, which focuses on developing traits such as perseverance, interpersonal skills, and emotional stability. These interventions have been shown to reduce burnout, improve job satisfaction, and potentially enhance patient care, making them vital in addressing the unique challenges nurses face.

Gap of Knowledge:

Read more

Although existing research has demonstrated the effectiveness of positive psychology interventions in reducing depression, anxiety, burnout, and stress among healthcare workers, including nurses, there is a need for more targeted randomized controlled trials (RCTs) that specifically address the unique stressors and work environments of nurses. Furthermore, the long-term effects of these interventions on nurses' resilience, stress, burnout, and job satisfaction require further exploration through well-designed RCTs.

Research Aims and Hypothesis:

The present study aims to

  1. evaluate whether a positive psychology intervention, based on evidence-based activities from several positive psychology theories, can improve resilience in nurses, and
  2. assess whether this intervention can also enhance stress levels, reduce burnout, and improve job satisfaction among nurses.

The hypotheses are:

  1. the positive psychology intervention will improve nurses' resilience;
  2. the intervention will positively impact stress, burnout, and job satisfaction; and
  3. it will be more effective for nurses with low resilience in improving these outcomes.
Being tested
Positive Psychology Intervention

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Positive Psychology InterventionBehavioural

    The 14-session intervention program is designed to enhance various internal resiliency factors. It begins with an orientation to positive psychology and setting group guidelines. Cognitive resilience is developed through identifying personal and signature strengths, reappraising memories, and learning savoring techniques. Emotional resilience is strengthened by focusing on forgiveness, managing decision fatigue, and fostering positive communication. Spiritual resilience is cultivated through gratitude practices and exploring hope and optimism. Behavioral resilience is addressed by recognizing strengths in others and engaging in altruism. The final session integrates all these elements to promote lasting positive changes in engagement, relationships, meaning, and accomplishments. Mid-session feedback ensures the program's effectiveness and responsiveness to participants' needs.

Study groups in NCT06572202
Study groupRoleWhat they receive
Positive Psychology InterventionExperimentalThe experimental group will receive multicomponent of positive psychology intervention with the specific domain related to resilience enhancement in nurses Ciarrochi et al. (2022). The program consists of five resilience domains/ six positive psychology virtues in fourteen sessions. Each session will take 60 minutes, two sessions per week. The program will last for seven weeks, followed by posttest immediately after intervention, 3-months, and 6-months follow up.
Receives: Behavioral: Positive Psychology Intervention
Control groupNo interventionThe control group will not receive intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Resilience

    Resilience will be measure with the Connor Davidson Resilience Scale (CD-RISC). The CD-RISC was developed in the United States to measure individuals' ability to cope effectively when faced with adversity (Connor \& Davidson, 2003). The revised scale includes 25 items and three dimensions (tenacity, strength, and optimism). Each item is rated on a Likert-type scale ranging from 0 (not at all) to 4 (almost always). The Cronbach's alpha value for the CDRISC 25 has been reported to be 0.91 in a study on a sample of nurses (Arias González et al., 2015).

    Measured: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up

Secondary outcomes (4)

  1. Stress

    Stress will be measured by the Perceived Stress Scale (PSS). The PSS-10 is a 10-item questionnaire that is widely used to assess stress levels in young people and adults aged 12 and above. The Cronbach's alpha value for the Perceived Stress Scale (PSS-10) in nurses has been reported to be 0.93 in a study in South Africa (Engelbrecht, 2022). Items are rated on a 5-point scale from 0 (never) to 4 (very often). Positively worded items are reverse scored before summation, producing a total score ranging from 0 to 40, with higher scores indicating greater perceived stress.

    Measured: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up

  2. Depression

    Patient Health Questionnaire-9 (PHQ-9). The PHQ-9 is a nine-item self-report tool that is used to screen for the presence and severity of depression. Each item is scored from 0 to 3, providing a total score ranging from 0 to 27, with higher scores indicating greater severity of depressive symptoms. The Cronbach's alpha for the PHQ-9 has been reported to be 0.89 in a study by Kroenke et al. (2001).

    Measured: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up

  3. Burnout

    Burnout will be measure with The Maslach Burnout Inventory (MBI). MBI is a psychological assessment instrument that measures burnout as a continuum on three different dimensions: Emotional Exhaustion, Depersonalization, and reduced Personal Accomplishment. The MBI is considered the "gold standard" for measuring burnout. The Cronbach's alpha value for the Maslach Burnout Inventory (MBI) in nurses has been reported to range from 0.70 to 0.90, indicating good internal consistency and reliability (Trigo et al., 2018).

    Measured: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up

  4. Work performance

    Work performance will be measured by the Individual Work Performance Questionnaire (IWPQ). The IWPQ assesses individual work performance across three dimensions: task performance, contextual performance, and counterproductive work behavior. This questionnaire includes items that evaluate how well nurses plan and execute their work, their willingness to help colleagues and take on additional responsibilities, and their ability to avoid counterproductive behaviors. Items are rated on a 5-point response scale. The IWPQ is known for its reliability, with Cronbach's alpha values typically ranging from 0.70 to 0.85 across different dimensions, making it a dependable tool for measuring work performance.

    Measured: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Aug 2024
  2. Study start9 Oct 2024
  3. Primary completion20 May 2025
  4. Study completion20 May 2025

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
80 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06572202
Sponsor's protocol ID
FRESPP2024
Status last verified
Aug 2026
First submitted
22 Aug 2024
Last updated
2 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Silva Ddos S, Tavares NV, Alexandre AR, Freitas DA, Breda MZ, Albuquerque MC, Melo VL. [Depression and suicide risk among nursing professionals: an integrative review]. Rev Esc Enferm USP. 2015 Dec;49(6):1027-36. doi: 10.1590/S0080-623420150000600020. Portuguese.

    PubMed 27419688

  • Aqtam I, Ayed A, Toqan D, Salameh B, Abd Elhay ES, Zaben K, Mohammad Shouli M. The Relationship Between Stress and Resilience of Nurses in Intensive Care Units During the COVID-19 Pandemic. Inquiry. 2023 Jan-Dec;60:469580231179876. doi: 10.1177/00469580231179876.

    PubMed 37278278

  • Mealer M, Jones J, Newman J, McFann KK, Rothbaum B, Moss M. The presence of resilience is associated with a healthier psychological profile in intensive care unit (ICU) nurses: results of a national survey. Int J Nurs Stud. 2012 Mar;49(3):292-9. doi: 10.1016/j.ijnurstu.2011.09.015. Epub 2011 Oct 5.

    PubMed 21974793

  • Janitra FE, Jen HJ, Chu H, Chen R, Pien LC, Liu D, Lai YJ, Banda KJ, Lee TY, Lin HC, Chang CY, Chou KR. Global prevalence of low resilience among the general population and health professionals during the COVID-19 pandemic: A meta-analysis. J Affect Disord. 2023 Jul 1;332:29-46. doi: 10.1016/j.jad.2023.03.077. Epub 2023 Mar 31.

    PubMed 37004902

Questions about this trial

What is this clinical trial studying?

A study testing Positive Psychology Intervention in people with Nurses and Resilience, Psychological, run by Fitria Endah Janitra at 1 site in Indonesia.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Indonesia. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Resilience (time frame: pre-test, immediately after intervention, 3 months follow-up, 6 months follow-up). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06572202, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Sep 2026.

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